Individual provider Active NPI

Emily Bush

  • Clinical Social Worker
  • Orange, CA
National Provider Identifier
1164890703
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW101799 Issued in CA
Practice address
1820 W Orangewood Ave Ste 105
Orange, CA 92868-5052
Phone
(562) 230-5899
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW101799 CA Primary
Mental Health Counselor 101YM0800X 83447 CA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1820 W Orangewood Ave Ste 105
Orange, CA 92868-5052

Mailing address

1820 W Orangewood Ave Ste 105
Orange, CA 92868-5052
Phone (562) 230-5899

Other practice location 1

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 748-2411

Other practice location 2

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 748-2411

Other practice location 3

161 W Victoria St
Long Beach, CA 90805
Phone (323) 242-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW101799CAMDClinical Social Worker
83447CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Mental Health, a Licensed Clinical Social Worker Corporation Current Accepting new patients

Locations

1820 W Orangewood Ave
Ste 105
Orange, CA 92868
Phone (562) 230-5899

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1164890703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W ORANGEWOOD AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685052",
            "telephone_number": "562-230-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W ORANGEWOOD AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685052",
            "telephone_number": "562-230-5899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153010",
            "country_code": "US",
            "telephone_number": "213-748-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153010",
            "country_code": "US",
            "telephone_number": "213-748-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 W Victoria St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90805",
            "country_code": "US",
            "telephone_number": "323-242-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW101799",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "83447",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.